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Neurologic Complications of HIV

Positive Life Series | March 4, 2025 Speaker Dr. Seymour Young - Eisenhower Health - The video transcript is a presentation that discusses neuropathy, particularly in the context of HIV, and potential treatments. The speaker shares that there are no FDA approved medications to treat neuropathic pain . The presentation also explores various treatment options, including tricyclic antidepressants, serotonin selective reuptake inhibitors like duloxetine (Cymbalta), topical anesthetic gels, and gabapentinoids . The speaker notes the importance of managing comorbidities and screening for alternative issues that worsen HIV neuropathy. The presentation further covers less common and rare conditions affecting the nervous system. Alternative therapies like acupuncture and cryo therapies are mentioned, but the speaker cautions against spending too much on unproven treatments . General recommendations include exercise and foot care . The presentation also touches on a newly FDA-approved medication for acute pain called Journayx, while also mentioning stem cell research and nerve growth factor . The presentation concludes with a Q&A session covering topics like gabapentin time release, mirtazapine, bowel bladder involvement, magnesium, shingles, Bell’s palsy, silent neuropathy, balance issues, and kidney function . Also brought up were circulation, vascular issues, and gender differences in neuropathy .